Uterine Prolapse

Causes

• Childbirth: Especially after multiple vaginal deliveries.
• Aging: Natural weakening of pelvic muscles over time.
• Hormonal Changes: Decreased estrogen after menopause.
• Chronic Pressure: Obesity, chronic cough, constipation, or heavy lifting.

Symptoms

• Sensation of heaviness or pulling in the pelvis.
• Tissue protruding from the vagina.
• Urinary problems, such as incontinence or retention.
• Difficulty with bowel movements.
• Lower back pain.
• Sexual concerns, like sensation of looseness.

Diagnosis

Diagnosis is usually made through a pelvic exam, where the doctor can see and feel the degree of prolapse. Additional tests may include:

• Ultrasound: To rule out other conditions.
• MRI: For detailed images of pelvic structures.
• Bladder function tests: If urinary issues are present.

Treatment

Treatment depends on the severity of the prolapse and the patient's overall health and preferences.

Non-Surgical Options

• Pelvic Floor Exercises (Kegels): Strengthen pelvic muscles.
• Pessary: A device inserted into the vagina to support the uterus.
• Lifestyle Changes: Weight management, avoiding heavy lifting, and treating chronic cough or constipation.

Surgical Options

• Vaginal Repair: Rebuilding the pelvic floor.
• Hysterectomy: Removal of the uterus, sometimes performed if the prolapse is severe.
• Uterine Suspension: Repositioning and securing the uterus using various techniques.

Early detection and lifestyle adjustments can help manage the condition effectively. If you suspect you have uterine prolapse, consulting a healthcare professional for an accurate diagnosis and personalized treatment plan is important.